What is the initial step in treating a casualty with burns?

• A. Apply ice
• B. Remove clothing
• C. Stop burning and cover the casualty
• D. Administer antibiotics

Answer: (C)

The initial step is to stop the burning and cover the casualty. Stopping the burn means getting the person away from the heat source and, if safe, removing any hot clothing or jewelry near the burn so the injury isn’t ongoing. Covering the burn with a clean, nonadhesive dressing protects the damaged tissue from infection and helps prevent further heat loss, which can worsen pain and tissue damage. This combination addresses the two immediate dangers: ongoing injury from the heat source and exposure of the wound to contaminants and the air. Ice should not be used, as it can cause further tissue damage, and antibiotics aren’t given in the field as an immediate measure. After stopping the burn and covering it, you would typically proceed with cooling the burn with running water if possible and seek further medical care.